JEFFREY N HOLLEY MD PC
NPI 1770620098
Legal Medicine in Donalsonville, GA
About Jeffrey N Holley Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY N HOLLEY MD PC (NPI 1770620098) is a healthcare organization registered as a legal medicine in Donalsonville, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Jeffrey Neal Holley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey N Holley Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeffrey N Holley MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0720419
Jeffrey N Holley MD PC · Donalsonville, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffrey N Holley MD PC's NPI number?
The NPI number for Jeffrey N Holley MD PC is 1770620098. It was assigned to this organization in the NPPES registry on January 30, 2007.
Where is Jeffrey N Holley MD PC located?
Jeffrey N Holley MD PC is located at 214 Cherry St, Donalsonville, GA 39845. The listed phone number is (229) 524-2232.
What is Jeffrey N Holley MD PC's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Jeffrey N Holley MD PC enrolled in Medicare?
Yes. Jeffrey N Holley MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jeffrey N Holley MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeffrey N Holley MD PC, in Family Practice and General Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jeffrey N Holley MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0720419) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jeffrey N Holley MD PC accept?
Health plans from Alliant Health Plans, Inc. list Jeffrey N Holley MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeffrey N Holley MD PC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffrey N Holley Md Pc · NPI 1770620098
Legal Medicine organization in Donalsonville, Georgia. Organization record, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1770620098 (Entity type: Organization)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Holley, PRESIDENT
## Practice location
- **Address:** 214 CHERRY ST, Donalsonville, GA 39845-1616
- **Phone:** (229) 524-2232 · **Fax:** (229) 524-8766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2007
- **Other identifiers:** Medicare ID-Type Unspecified GRP6806 (GA); Medicare UPIN F85716 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770620098) · Data from the CMS NPPES public registry.